Individual
MAKETA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED PSYCH
Contact information
Practice address
71 FLINT DR, NORTH EAST, MD 21901-3746
(443) 945-4703
Mailing address
71 FLINT DR, NORTH EAST, MD 21901-3746
(484) 442-0104
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
A01253
MD
164W00000X
Licensed Practical Nurse
Primary
PN267669
PA
Other
Enumeration date
07/27/2007
Last updated
06/23/2026
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